4730.15
Application for approval of a physician supervisory plan.

A physician seeking to supervise one or more physician
assistants through a physician supervisory plan shall submit to the state
medical board an application for approval of a physician supervisory plan. The
physician shall provide all information determined by the board to be necessary
to process the application. The physician may include in the application the
names, business addresses, and business telephone numbers of at least two
physicians who have agreed to act as alternate supervising physicians during
periods in which the physician will be unable to provide supervision in
accordance with section
4730.21 of the Revised Code.
Application for approval of a physician supervisory plan shall be made on a
form prescribed and furnished by the board. Each application shall include a
copy of the proposed plan. The proposed plan may be based on any model
physician supervisory plan approved under section
4730.06 of the Revised Code. If
the plan includes a special services portion, that portion may be based on any
model special services portion approved under section
4730.06 of the Revised Code. The
board shall develop a form that may be used when two or more physicians wish to
apply at the same time for approval of the same physician supervisory plan.
When making simultaneous applications with this form, the physicians are
required to include only one copy of the proposed plan with all of their
applications.